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Organization

FAMILY FOOT CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY DESMOND (OFFICE MANAGER)
(724) 482-4192
Entity
Organization

Contact information

Practice address
104 TECHNOLOGY DR, BUTLER, PA 16001-1801
(724) 482-4192
(724) 482-4859
Mailing address
104 TECHNOLOGY DRIVE, BUTLER, PA 16001
(724) 482-4192
(724) 482-4859

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6000007094
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2064839
HIGHMARK BLUE SHIELD
PA
Enumeration date
10/25/2013
Last updated
10/25/2013
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